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What causes bleeding after sexual intercourse?

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Posted on Fri, 20 Mar 2015
Question: I been blessing everytime after intercourse... My paps keeps coming back normal!
doctor
Answered by Dr. Ramadevi Wani (2 hours later)
Brief Answer:
No cause found in majority. Biopsy important

Detailed Answer:
Hi
I am Dr Ramadevi Wani. I will be answering your concerns today.
The reasons for bleeding after intercourse are often due to benign conditions like cervical polyp, cervicitis ( infection of the neck of the womb) cervicalal ectropion ( epithelium lining cervical canal protrudes out a bit) vaginal atrophy, foreign body etc. Sometimes it is due to causes of concern like precancerous lesion of the cervix or cervical/ vaginal cancer.
Since you have been examined by doctor and also had colposcopy most of the benign causes are obviously excluded .
Do you have regular cycles? Do you have unprovoked bleeding in between cycles? Do you have any bleeding disorders? Are you on blood thinning medications?

Are you on oral contraceptive pills. In this case sometimes there is cervical ectropion due to estrogen content in pill. This epithelium is delicate. It can be injured during intercourse causing bleeding.

Though rare it is important to exclude precancerous/ cancer lesions by biopsy. Let us wait for the result.
Please note that in more than 50% of cases no cause will be identified after all these investigations. In such a scenario the bleeding usually resolves in few months time.
Do you have any further queries. Do write to me. I will be happy to answer.
Above answer was peer-reviewed by : Dr. Prasad
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Follow up: Dr. Ramadevi Wani (41 minutes later)
Thank you! I havent had a normal
Cicle, for some time
Now..... When i had the vaginal ultrasound the doc said, no polips no finroids.... She said
My inside was
Beautiful, im very concern, when back to ly gynecologist and had the colcospy.... So we are just waiting on results... Dont know what else to do, but even upon examination i was bleeding.... I bleed everytimethere is some kind of contact w/ my cervix
doctor
Answered by Dr. Ramadevi Wani (24 minutes later)
Brief Answer:
Biopsy report will clarify things.

Detailed Answer:
Hi,

I understand your concerns because of the uncertainty.
I empathize with you.
While doing internal examination did your doctor mention anything like ectropion?
Have you had aswab tested for HPV.
Since your pap smears were normal and did not mention cellular changes suggestive of HPV infection, probably you dont have HPV infection.
Let us wait for the biopsy result.
Don't get tensed. As I mentioned earlier in more than 50% of cases there is no apparent cause.
In the worst scenario of detecting a precancer lesion also you should not worry. There are good treatments available to cure it.
Do write to me once you get biopsy results.

Above answer was peer-reviewed by : Dr. Raju A.T
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Follow up: Dr. Ramadevi Wani (14 minutes later)
Yes my doc did the swab for hpv , that was negative..... One thing she did say if the biopsy comes back normal, she said i have two options , i can either have a cauterazation, and she mentioned a cream, that will bring all my bacteria down to the lowest point , and i guess the vigina wouldshut down! Does that make any sencr to you? I dont have the cream name yet, but Monday im seeing her.. And we will discuss furthur, habe you heard of such thing? A cream that will bring all yout levels down,
To the point where the vigina would shut down?'
doctor
Answered by Dr. Ramadevi Wani (23 minutes later)
Brief Answer:
Cautery done for cervical erosion/ectropion

Detailed Answer:
Hi,
Negative HPV swab is a good news.
Why cauterization? Cauterization is done if there is cervical erosion or cervical ectropion.

I know of creams that are used to treat infections. But your doctor has said you do not have infection.
I am not aware of any cream that would shut down the vagina.
I hope I have answered your concerns. If you have no further questions please close the discussion.
If you have any questions, I will be happy to answer.
Write to me on Monday regarding biopsy result and the name of the cream.
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Ramadevi Wani (45 minutes later)
Will do.... Thank you again
doctor
Answered by Dr. Ramadevi Wani (2 minutes later)
Brief Answer:
Thanks for trusting Healthcare Magic

Detailed Answer:
Hi,
You are most welcome.
Have a good day.
Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Ramadevi Wani

OBGYN

Practicing since :1985

Answered : 1387 Questions

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What causes bleeding after sexual intercourse?

Brief Answer: No cause found in majority. Biopsy important Detailed Answer: Hi I am Dr Ramadevi Wani. I will be answering your concerns today. The reasons for bleeding after intercourse are often due to benign conditions like cervical polyp, cervicitis ( infection of the neck of the womb) cervicalal ectropion ( epithelium lining cervical canal protrudes out a bit) vaginal atrophy, foreign body etc. Sometimes it is due to causes of concern like precancerous lesion of the cervix or cervical/ vaginal cancer. Since you have been examined by doctor and also had colposcopy most of the benign causes are obviously excluded . Do you have regular cycles? Do you have unprovoked bleeding in between cycles? Do you have any bleeding disorders? Are you on blood thinning medications? Are you on oral contraceptive pills. In this case sometimes there is cervical ectropion due to estrogen content in pill. This epithelium is delicate. It can be injured during intercourse causing bleeding. Though rare it is important to exclude precancerous/ cancer lesions by biopsy. Let us wait for the result. Please note that in more than 50% of cases no cause will be identified after all these investigations. In such a scenario the bleeding usually resolves in few months time. Do you have any further queries. Do write to me. I will be happy to answer.